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Screening and addressing social needs of children and families enrolled in a pediatric weight management program: a
Gita Wahi1,2, Stacey Marjerrison3,4,5, Carline Gutierrez6,7
1Department of Pediatrics, McMaster University, Hamilton, Ontario, Canada. wahig@mcmaster.ca.
Insights
This pilot study tested a new intervention for children with chronic conditions, focusing on social needs. The intervention showed promise for feasibility in a pediatric weight management clinic.
Area of Science:
- Pediatric Health
- Social Determinants of Health
- Clinical Trials
Background:
- Limited evidence exists for interventions addressing social needs in children with chronic medical conditions.
- Social needs significantly impact health outcomes and treatment adherence.
- Pediatric weight management programs often encounter families with unmet social needs.
Purpose of the Study:
- To assess the feasibility of an intervention designed to screen for and address social needs in children and families within a pediatric weight management clinic.
- To evaluate recruitment, intervention uptake, and participant follow-up rates as primary feasibility outcomes.
- To explore preliminary effects of the intervention on body mass index, body composition, and quality of life.
Main Methods:
- A single-center, pilot randomized controlled trial (RCT) involving 40 families with children in a pediatric weight management program.
- Randomization of families with unmet social needs to either a community navigator or self-navigation of resources.
- Feasibility outcomes assessed by recruitment rates, intervention uptake, and follow-up completion; secondary outcomes measured at 6 months.
Main Results:
- The study aims to determine if recruitment rates reach 80%, intervention uptake exceeds 80%, and follow-up completion surpasses 90%.
- Preliminary effects on body mass index, body composition, and quality of life will be estimated.
- Descriptive statistics will be used for feasibility outcomes; exploratory analyses for secondary outcomes.
Conclusions:
- This pilot RCT is crucial for improving pediatric obesity treatment by evaluating an intervention for social needs.
- Successful feasibility will support larger trials investigating the impact of addressing social determinants on pediatric health.
- The findings will inform the development of integrated care models for children with chronic conditions.
Background:
There is a paucity of evidence to support interventions that address the social needs of children and families with chronic medical conditions. The primary objective of this pilot randomized controlled trial (RCT) is to assess the feasibility of an intervention that screens for and addresses the social needs of children and families enrolled in a pediatric weight management clinic.
Method:
We will conduct a single-center, pilot RCT of 40 families with children enrolled in a pediatric weight management program at a tertiary children's hospital in Ontario, Canada. Families who are experiencing unmet social needs will be randomized to either a community navigator or self-navigation of community resources. The primary feasibility outcomes and criteria for success include the following: (1) recruitment rates, will be successful if 80% of our target sample is met in the 6 months of recruitment; (2) uptake of intervention, will be considered successful if > 80% of families complete the intervention; and (3) follow-up of participants, will be considered successful if > 90% of participants complete all the study visits. The secondary outcomes include estimating the preliminary effects on body mass index, body composition, and quality of life at 6 months. The analysis of feasibility outcomes will be based on descriptive statistics, and analysis of secondary clinical outcomes will be reported as estimates of effect. We will not perform tests of significance since these analyses are purely exploratory.
Discussion:
This study is important because it will aim to improve the treatment of pediatric obesity by testing the feasibility of an intervention that addresses unmet social needs.
Trial Registration:
ClinicalTrias.gov : NCT04711707 (Registered January 13, 2021).
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